Lead Extraction: How Easy and Safe Is It Today?
The introduction of the techniques for transvenous lead removal in clinical practice have changed the management of infected or abandoned implanted cardiac devices. Retention of functionless pacing leads is becoming relatively common because the performance of implanted leads decreases over time [1, 2]. Moreover, although the structural complexity of last-generation pacing leads (bipolar leads, preshaped leads, J-retention wire leads, etc.) allows better pacing therapy, it also exposes the patients to new and old complications such as crashes, insulation failures, cardiac chamber perforations, and venous occupation. Infection is another complication of the pacing systems; it is reported to occur in 0%–19% of patients [3,4].
KeywordsImplantable Cardioverter Defibrillator Cardiac Tamponade Lead Removal Pace Lead Lead Extraction
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